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1861800096
TYREE WOLF
MOUNTAIN HOME AFB, ID
NPI
1861800096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2014-07-31
Last Update Date
2014-07-31
Business Address
TYREE WOLF IDMT
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 210-828-7401
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Mailing Address
TYREE WOLF IDMT
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 210-828-7401
Copy
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